Pharmacology to Payer: One Quantitative Drug Development Framework to Rule Them All

The traditional drug development paradigm draws the “finish line” before the payer. Regulatory approval leads directly to reimbursement by payers and patient access. Historically, payers had reluctantly accepted this paradigm and provided reimbursement with little influence on what they were receiving or whether they chose to accept it.

Today, the finishing line for novel drugs in Europe is different; navigating the payer landscape can take up to two years after attaining regulatory approval. This results in many patients experiencing unacceptable delays to accessing lifesaving medicines.

It is assumed that by putting the patients’ needs first and working together that all stakeholders can benefit:

  • Sponsor—earlier certainty of a path to market and business case, earlier revenues through “provisional pricing”
  • Regulator—earlier alignment with regulatory requirements
  • Payer—earlier alignment with reimbursement requirements, opportunities to risk/cost share
  • Patient—earlier access to medicines

However, executing this collaboration is difficult due to challenges in communicating across different competencies and motivations. The goals of payers differ from that of patients, sponsors, and regulators.

Watch this webinar with Drs. Carl Kirkpatrick and Craig Rayner to learn how “pharmacology to payer” (P2P) can be used as a quantitative framework that bridges the disciplines of pharmacology, epidemiology, and health economics to support meaningful dialogue between industry, regulators, and payers. Their thesis holds that if this quantitative framework could stand stakeholders’ scrutiny then its outputs would enable meaningful dialogue much earlier in the development process. The P2P framework has been applied to multiple indications in infectious diseases and is readily expandable across other diseases including dementia and multiple sclerosis. The approach may inform early target product profile (TPP) requirements for investigational drugs, procurement strategies, and strategic pricing and deployment decisions, including combination with adjacent non-therapeutic interventions.

P2P offers an unprecedented opportunity to create impactful solutions that will help address market failures in drug development.